DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20181877

Paraplegia as a rare complication of tracheal resection anastomosis

Khairul Bariah Noh, Irfan Mohamad, Thevagi Maruthamuthu, Sanjeevan Nadarajah, Nik Fariza Husna Nik Hassan

Abstract


Tracheal resection is the definitive surgical treatment whereby resection of stenotic segment with end-to-end anastomosis is performed. The procedure is indicated in a case of grade IV tracheal stenosis. Known complications include granulation tissue formation, restenosis of the trachea, anastomotic separation, tracheoesophageal fistula (TEF) and tracheoinnominate fistula (TIF), wound infection, laryngeal edema and laryngeal dysfunction. We present an 18- year-old gentleman whom previously ambulating, developed acute paraplegia following this surgery. In this report we discuss the possible causes that may lead to paraplegia in our case.


Keywords


Paraplegia, Tracheal stenosis, Resection, Anastomosis

Full Text:

PDF

References


Auchincloss HG, Wright CD. Complications after tracheal resection and reconstruction: prevention and treatment. Journal of thoracic disease. 2016;8(Suppl 2):S160.

Grillo HC, Donahue DM. Postintubation tracheal stenosis. Chest surgery clinics of North America. 1996;6(4):725-31.

Pitz CC, Duurkens VA, Goossens DJ, Knaepen PJ, Siegers P, Hoogenboom LJ. Tetraplegia after a tracheal resection procedure. Chest. 1994;106(4):1264-5.

Aydinyan KK, Day JD, Troiano GM, Digoy GP. Non-invasive methods to maintain cervical spine position after pediatric tracheal resections. Int J Pediatr Otorhinolaryngol. 2017;98:121-5.

Dominguez J, Rivas JJ, Lobato RD, Diaz V, Larri E. Irreversible tetraplegia after tracheal resection. The Annals of thoracic surgery. 1996;62(1):278-80.

Silver JR. Paraplegia as a result of tracheal resection in a 17-year-old male. Spinal cord. 2007;45(8):576-8.